Individual provider Active NPI

Robert H Mondschein, M.D.

  • Surgery Physician
  • Melville, NY
National Provider Identifier
1174523880
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
177139 Issued in NY
Practice address
17 Louis Dr
Melville, NY 11747-1901
Phone
(516) 724-3200
Fax
(631) 367-8205
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 177139 NY Primary

Addresses

Primary practice location

17 Louis Dr
Melville, NY 11747-1901

Mailing address

17 Louis Dr
Melville, NY 11747-1901
Phone (516) 724-3200

Other identifiers 1

IdentifierTypeStateIssuer
01488866MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000153 NY Practitioner - General Surgery 9931225364 Reassigns benefits to 4 organizations
Practice locations: Melville, NY

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of Ny Upstate Medical University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Physician PLLCGroup PAC ID 2567617889, 4 clinicians

Practice addresses (Care Compare)

430 Beach 68TH St
Suite 2a
Arverne, NY 11692-1407
Phone (718) 674-5326

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Merit-based Incentive Payment System (MIPS)

Final score
96.97 of 100Reported as group
Quality
95
Improvement activities
40
Cost
63.24

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue176
Removal of skin lesions31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Heritage Wound Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Mobile Medical Doc. P.C. CurrentSince Mar 1, 2017 Accepting new patients
Wound Physician PLLC CurrentSince Mar 1, 2017 Accepting new patients
Renew Medical of New York, PLLC CurrentSince Feb 7, 2023 Accepting new patients
Dynamic Physical Therapy Services PC PastSince Jun 21, 2010 Accepting new patients
Focus Medical Health PLLC Past Accepting new patients

Locations

325 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (973) 783-2800

430 Beach 68th St
Ste 2A
Arverne, NY 11692
Phone (718) 674-5326

2749 Linden Blvd
Brooklyn, NY 11208
Phone (201) 936-9345

3923 Fort Hamilton Pkwy
Brooklyn, NY 11218
Phone (718) 314-0999

405 Carlton Ave
Brooklyn, NY 11238
Phone (718) 444-3274

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

284 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1621

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1174523880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LOUIS DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471901",
            "telephone_number": "516-724-3200",
            "fax_number": "631-367-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LOUIS DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471901",
            "telephone_number": "516-724-3200",
            "fax_number": "631-367-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDSCHEIN",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "177139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488866",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.